Kubba A K, Greig J D, Wallace I W
Department of Surgery, St John's Hospital at Howden, Livingston, UK.
J R Coll Surg Edinb. 1995 Aug;40(4):240-2.
This study audited length of hospital stay, mortality and morbidity associated with transurethral resection of the prostate (TURP) in a district general hospital over a 4-year period between 1990 and 1993. Five hundred and thirty-nine TURPs (409 benign and 130 malignant; median age 69 years) were carried out, which represented a twofold increase over the 4-year period. Although the mean duration of stay was 5 days, 92.5% of patients had a hospital stay of less than 7 days. One (0.2%) death occurred in a patient with ischaemic heart disease on the first postoperative day. The commonest cause of morbidity and delayed discharge from hospital was presence of outflow symptoms in nine (1.7%) patients. Transurethral resection of the prostate is a safe procedure in an ever-increasing elderly population with concomitant medical illness, but improved identification of 'at-risk' patients is required in order to further lower the morbidity associated with this procedure.
本研究对1990年至1993年期间一家区综合医院经尿道前列腺切除术（TURP）的住院时间、死亡率和发病率进行了审计。共进行了539例经尿道前列腺切除术（409例良性，130例恶性；中位年龄69岁），这一数字在4年期间增长了两倍。尽管平均住院时间为5天，但92.5%的患者住院时间少于7天。1例（0.2%）患有缺血性心脏病的患者在术后第一天死亡。发病和延迟出院的最常见原因是9例（1.7%）患者出现排尿困难症状。经尿道前列腺切除术对于老年患者以及伴有内科疾病的患者来说是一种安全的手术，但为了进一步降低该手术的发病率，需要更好地识别“高危”患者。
